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online ce evaluation

eLEVATE YOUR Practice | ELEVATE YOUR Life

Please fill out the form below to receive your CE credits and allow 7–10 business days for certificate delivery.

ELEVATION ASSOCIATION

Nationally Approved PACE Program

Provider for FAGD/MAGD Credit.

Approval does not imply acceptance by

any regulatory authority of AGD endorsement.

09/01/2023 - 08/31/2027

Provider ID# 403329

Please use the following scale

5 Stars = Strongly Agree

4 Stars = Agree

3 Stars = Unsure

2 Stars = Disagree

1 Star = Strongly Disagree

I learned something new that was important*

I verified some important information*

I plan to discuss this information with colleagues*

I plan to seek more information on this topic*

My attitude about this changed in some way*

This information is likely to impact my practice*

I understood what the instructors were teaching*

I was able to interpret tables/figures (if applicable)

The presentation of the material enhanced my ability to understand it*

I enjoyed the activities and the comradery with the other participants (if applicable)

The instructors were effective in presenting the material*

The administration of the course met my expectations*

I am likely to return for additional training*

What are the 3 greatest challenges you face as a dentist?*

Additional comments and/or feedback

What changes, if any, do you plan to make in your practice as a result of this CE course?

Would you be interested in taking CE course on any of these topics?

Leadership

Practice Management

Team Management

Clinical Skills

Data-Driven Decisions

First name*

Last name*

Email*

Dental Practice*

Are you a dentist or hygienist?*

Dentist

Hygienist

I attest to having completed the CE activity (CE will not be verified without signature)

Signature*

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ELEVATION ASSOCIATION

Nationally Approved PACE Program

Provider for FAGD/MAGD Credit.

Approval does not imply acceptance by

any regulatory authority of AGD endorsement.

09/01/2023 - 08/31/2027

Provider ID# 403329

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